You bring up a valid point but one that is going to be shrouded, or better be, per state. If someone is already on medicare/medicad, then they have already relinquished their privacy to the fed/state. Even going to a provider that accepts them, even if you don't use, is extremely questionable. There are no if, ands or buts about it. If you want full privacy between you and a doctor then look towards those that will not accept.
The amount of people that watched 2000 mules and didn't stop to question the dragnet of data obtained for are just as bad.
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